Comparative analysis of the results of treatment of propulsive metatarsalgia using early Weil osteotomy and its modification

One of the problems in the treatment of patients with the clinic of metatarzalgia and anterior foot deformity at the moment remains the diagnosis of various types of metatarzalgia, based on the biomechanics of the anterior foot, and the choice of the most suitable surgical treatment option. Theexistence of more than 25 species of different osteotomies, different from each other, indicates the inconsistency of this issue in foot surgery at the moment.Objective.Improve the results of surgical treatment of patients suffering propulsive metatarsalgia against the background of concomitant anterior foot deformity using the patented modification of Weil metatarsal osteotomy.Material and methods.A retrospective study of the long-term results of operative treatment of 60 patients was carried out, from 2015 to 2019. Foot function before and after surgery was assessed by FFI scales, AOFAS Lesser Toes. Postoperative results were also assessed on the Maryland scale.Results.As a result of the study, statistically significant differences were obtained in the examined groups, according to the results of the assessment of foot function before and after the surgical intervention according to the AOFAS Lesser Toes scales (p = 0.0001), FFI (p = 0.0001), after the surgical treatment according to the Maryland scale (p = 0.0002).Conclusion.The proposed modification of Weil osteotomy can be used in clinical practice as an effective and safe method of treating propulsive metatarsalgia. This modification of osteotomy will allow to preserve all the positive aspects of its classic version, reduce the cost of treatment and the need for material and technical conditions, achieve a significant improvement in the function of the foot after operative treatment.